End of Life Care

Headlines

  • End of life care affects everyone, death comes to us all, but end of life care specifically relates to those that are likely to die within the next 12 months.
  • Each year there are around 3,200 deaths in Wakefield.
  • The main causes of death are cancer, circulatory disease and respiratory disease.
  • Death rates are higher in Wakefield than other comparable areas and more people die prematurely.
  • An estimated 2,200-2,600 people may need palliative care in Wakefield each year, however not everyone needing palliative care will require end of life care.
  • The proportion of people in Wakefield who die in their usual place of residence is increasing, but at a slower rate than in other comparable areas.
  • Those dying from Circulatory disease or Dementia and Alzheimer’s disease in Wakefield are less likely to die in their usual place of residence than in other comparable areas.

    The Population

End of life care affects everyone, as death comes to us all. People are considered to be approaching the end of their life when they are likely to die within the next 12 months.  This includes people whose death is imminent and those with conditions, frailty or co-existing conditions that mean they are expected to die within 12 months.  Including people that have existing conditions, if they are at risk of dying from a sudden acute change in their condition and people that have life-threatening acute conditions caused by sudden catastrophic events.  It also includes those who are diagnosed as being in a persistent vegetative state for whom a decision to withdraw treatment may lead to their death.

End of life care should help people who are in the last stages of their life to live as well as is possible until they die, and to die with dignity.

Each year in Wakefield district there are around 3,200 deaths, this is around 1% of the population. The main causes of death are cancer (28%), circulatory disease (26%) and respiratory disease (16%).

Research suggests that 69-82% of people who die need palliative care.  Palliative care improves the quality of life of patients and their families facing the problem associated with life-threatening illness. Not everyone needing palliative care will require end of life care, as they may not be likely to die in the next 12 months.  It is estimated that 2,200-2,600 people in Wakefield need palliative care each year.

The Burden

Death rates are higher in Wakefield district than other comparable areas, with more people dying prematurely (under the age of 75 years), more information on causes of death can be found on our deaths page.  It is estimated that 69-82% of people who die need palliative care, indicating there may be around 2,200 and 2,600 people each year in Wakefield.

An indicator for quality of end of life care is dying in your usual place of residence; two thirds of people would prefer to die at home.

The latest data shows the percentage of people dying in their usual place of residence is increasing in Wakefield; but not as fast as in other areas and Wakefield has a lower proportion of people dying in their usual place of residence than other comparable areas and the national average.

Those dying from Circulatory disease or Dementia and Alzheimer’s disease are in Wakefield are less likely to die in their usual place of residence than other comparable areas, the proportion of people with dementia dying in hospital is much higher.


Source: Public Health England

 

The Inequality

Currently under construction – will be updated shortly

Service Provision

Currently under construction – will be updated shortly

Community Assets

Currently under construction – will be updated shortly

Information and Publications

Dying: Discussing and planning for end of life

RightCare packs – NHS RightCare is a national programme supported by NHS England to deliver the best care to patients. The RightCare packs support areas to identify where they differ from other similar areas, and what areas of a pathway could be changed to be more efficient and effective. End of Life information can be found here starting on page 131.

 

 

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